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Women who come with HG should be thoroughly examined for gestational trophoblastic disease (GTD) as well as multiple pregnancies since they can also have severe vomiting and nausea in the first trimester of pregnancy. An obstetric ultrasound scan may be used to start the investigation, which will typically result in a diagnosis.
Pregnancy-related nausea and vomiting that is more severe is referred to as hyperemesis gravidarum. In addition to frequently being unable to eat or drink, women with hyperemesis frequently vomit multiple times each day and may lose more than 5% of their pre-pregnancy body weight. The diagnosis is made clinically and by measurements of blood electrolytes, renal function, and urine ketones. Treatment includes a brief stoppage of oral intake, IV fluids, possible antiemetics, vitamin and electrolyte replacement, and IV fluids. Dehydration, electrolyte abnormalities, and weight loss are the primary dangers for pregnant women with hyperemesis gravidarum. According to the HER Foundation, women who have chronic hyperemesis during pregnancy run a higher risk of developing premature labor and preeclampsia.
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